Abstract
Somatostatinomas are rare neuroendocrine tumours (NETs) that arise in the pancreas or duodenum. They are the fifth most common pancreatoduodenal NET (after insulinomas, non-functioning tumours, gastrinomas and VIPomas), with an incidence of 1 in 40 million [1–3]. They tend to be non-functioning, although they are rarely active and can produce a spectrum of symptoms called ‘somatostatinoma syndrome’ [4–6]. A degree of discord exists regarding the functional component of a somatostatinoma; some clinicians argue that a ‘syndrome’ of clinical symptoms must be present for the diagnosis of somatostatinoma and others that the diagnosis is purely immunohistochemical [7]. As most of these tumours are biochemically inert, they are either detected incidentally or by causing mass-effect pressure symptoms, and most will have metastasised by the time of diagnosis [6, 8, 9].
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References
Ganda OP, Weir GC, Soeldner JS et al (1977) “Somatostatinoma”: a somatostatin-containing tumor of the endocrine pancreas. N Engl J Med 296:963–967
House MG, Yeo CJ, Schulick RD (2002) Periampullary pancreatic somatostatinoma. Ann Surg Oncol 9:869–874
Williamson JML, Thorn CC, Spalding D, Williamson RCN (2011) Pancreatic and peripancreatic somatostatinomas. Ann R Coll Surg Engl 93:356–360
Ellison TA, Edil BH (2012) The current management of pancreatic neuroendocrine tumours. Adv Surg 46:283–296
O’Toole D, Salazar R, Falconi M et al, Frascati Consensus Conference; European Neuroendocrine Tumor Society (2006) Rare functioning pancreatic endocrine tumors. Neuroendocrinology 84:189–195
Vinik AI, Woltering EA, Warner RRP et al (2010) NANETS Guidelines: NANETS consensus guidelines for the diagnosis of neuroendocrine tumor. Pancreas 39:713–734
Metz DE, Jensen RT (2008) Gastrointestinal neuroendocrine tumors: pancreatic endocrine tumors. Gastroenterology 135:1469–1492
Vinik AI, Strodel WE, Eckhauser FE, Moattari AR, Lloyd R (1987) Somatostatinomas, PPomas, neurotensinomas. Semin Oncol 14:263–281
Doherty GM (2005) Rare endocrine tumours of the GI tract. Best Pract Res Clin Gastroenterol 19:807–817
Kulke MH, Anthony LB, Bushnell DL et al (2010) NANETS treatment guidelines: well-differentiated neuroendocrine tumors of the stomach and pancreas. Pancreas 39:735–752
Steinmuller T, Kianmanesh R, Falconi M et al (2008) Consensus guidelines for the management of patients with liver metastases from digestive (neuro)endocrine tumours: foregut, midgut, hindgut and unknown primary. Neuroendocrinology 87:47–62
Capurso G, Bettini R, Rinzivillo M et al (2011) Role of resection of the primary pancreatic neuroendocrine tumour only in patients with unresectable metastatic liver disease: a systemic review. Neuroendocrinology 93:223–229
Klöppel G (2007) Tumour biology and histopathology of neuroendocrine tumours. Best Pract Res Clin Endocrinol Metab 21:15–31
Mao C, Shah A, Hanson DJ, Howard JM (1995) Von Recklinghausen’s disease associated with duodenal somatostatinoma: contrast of duodenal versus pancreatic somatostatinomas. J Surg Oncol 59:67–73
Soga J, Yakuwa Y (1999) Somatostatinoma/inhibitory syndrome: a statistical evaluation of 173 reported cases as compared to other pancreatic endocrinomas. J Exp Clin Cancer Res 18:13–22
Ectors N (1999) Pancreatic endocrine tumors: diagnostic pitfalls. Hepatogastroenterology 46:679–690
Harris GJ, Tio F, Cruz AB Jr (1987) Somatostatinoma: a case report and review of the literature. J Surg Oncol 36:8–16
Moayedoddin B, Booya F, Wermers RA, Lloyd RV, Rubin J, Thompson GB, Fatourechi V (2006) Spectrum of malignant somatostatin-producing neuroendocrine tumors. Endocr Pract 12:394–400
Garbrecht N, Anlauf M, Schmitt A et al (2008) Somatostatin-producing neuroendocrine tumors of the duodenum and pancreas: incidence, types, biological behaviour, association with inherited syndromes, and functional activity. Endocr Relat Cancer 15:229–241
Oberg K, Eriksson B (2005) Endocrine tumours of the pancreas. Best Pract Res Clin Gastroenterol 19:753–781
Cappelli C, Agosti B, Braga M, Cumetti D, Gandossi E, Rizzoni D, Agabiti RE (2004) Von Recklinghausen’s neurofibromatosis associated with duodenal somatostatinoma. A case report and review of the literature. Minerva Endocrinol 29:19–24
Karasawa Y, Sakaguchi M, Minami S, Kitano K, Kawa S, Aoki Y, Itoh N, Sakurai A, Miyazaki M, Watanabe T, Akimoto M, Arakura N, Kiyosawa K (2001) Duodenal somatostatinoma and erythrocytosis in a patient with von Hippel-Lindau disease type 2A. Intern Med 40:38–43
Maki M, Kaneko Y, Ohta Y, Nakamura T, Machinami R, Kurokawa K (1995) Somatostatinoma of the pancreas associated with von Hippel-Lindau disease. Intern Med 34:661–665
Sreenarasimhaiah J, Armstrong LA, Tang SJ, Barnett C (2009) Pancreatic somatostatinoma and tuberous sclerosis: an exceedingly rare association. Gastrointest Endosc 69:379–381
Barahona-Garrido J, Aguirre-Gutiérrez R, Gutiérrez-Manjarrez JI, Tellez-Avila FI, López-Arce G, Fomperoza-Torres A, Criales S, Sánchez-Cortés E, Sarti HM, Yamamoto-Furusho JK (2009) Association of GIST and somatostatinoma in a patient with type-1 neurofibromatosis: is there a common pathway? Am J Gastroenterol 104:797–799
Sakorafas GH, Giannopoulos GA, Parasi A, Konstantoudakis G, Tzanakis N, Stergiopoulos S, Peros G (2008) Large somatostatin-producing endocrine carcinoma of the ampulla of vater in association with GIST in a patient with von Recklinghausen’s disease. Case report and review of the literature. JOP 9:633–639
de Herder WW, Hofland LJ, van der Lely AJ, Lamberts SWJ (2003) Somatostatin receptors in gastroenteropancreatic neuroendocrine tumours. Endocr Relat Cancer 10:451–458
Yamada Y, Stoffel M, Espinosa R 3rd, Xiang KS, Seino M, Seino S, Le Beau MM, Bell GI (1993) Human somatostatin receptor genes: localization to human chromosomes 14, 17, and 22 and identification of simple tandem repeat polymorphisms. Genomics 15:449–452
Volante M, Bozzalla-Cassione F, Papotti M (2004) Somatostatin receptors and their interest in diagnostic pathology. Endocr Pathol 15:275–292
Corleto VD, Falconi M, Panzuto F et al (2009) Somatostatin receptor subtypes 2 and 5 are associated with better survival in well-differentiated endocrine carcinomas. Neuroendocrinology 82:223–230
Gibril F, Jensen R (2004) Diagnostic uses of radiolabelled somatostatin-receptor analogues in gastroenteropancreatic endocrine tumors. Dig Liver Dis 36:S106–S120
Capurso G, Panzuto F, Delle Fave G (2010) Clinical relevance of the expression of somatostatin receptors in digestive endocrine tumours. Dig Liver Dis 42:173–174
Kam BLR, Teunissen JJM, Krenning EP, de Herder WW, Khan S, van Vilet EI, Kwekkeboom DJ (2012) Lutetium-labelled peptides for therapy of neuroendocrine tumours. Eur J Nucl Med Mol Imaging 39:S103–S112
Klimstra DS, Modlin IR, Adsay NV et al (2010) Pathological reporting of neuroendocrine tumors: application of the Delphic consensus process to the development of a minimum pathology data set. Am J Surg Pathol 34:300–313
NANETS Guidelines (2010) The pathological classification of neuroendocrine tumors: a review of nomenclature, grading, and staging systems. Pancreas 39:707–712
Rindi G, Klöppel G, Alhman H et al, all other Frascati Consensus Conference participants; European Neuroendocrine Tumor Society (ENETS) (2006) TNM staging of foregut (neuro)endocrine tumours: a consensus proposal including a grading system. Virchows Arch 449:395–401
Sorbin LH, Wittekind C (eds) (2002) TNM classification of malignant tumours. Wiley-Liss, New York
King CM, Reznek RH, Dacie JE, Wass JA (1994) Imaging islet cell tumours. Clin Radiol 49:295–303
Rockall AG, Reznek RH (2007) Imaging of neuroendocrine tumours (CT/MR/US). Best Pract Res Clin Endocrinol Metab 21:43–68
Debray MP, Geoffroy O, Laissy JP, Lebtahi R, Sibermann-Hoffman O, Henry-Feugeas MC, Cadiot G, Mignon M, Schouman-Claeys E (2001) Imaging appearances of metastases from neuroendocrine tumours of the pancreas. Br J Radiol 74:1065–1070
Angeletti S, Corleto VD, Schillaci O, Marignani M, Annibale B, Moretti A, Silecchia G, Scopinaro F, Basso N, Bordi C, Delle Fave G (1998) Use of the somatostatin analogue octreotide to localise and manage somatostatin-producing tumours. Gut 42:792–794
Reubi JC (1995) Neuropeptide receptors in health and disease: the molecular basis for in vivo imaging. J Nucl Med 36:825–835
Termanini B, Gibril F, Reynolds JC, Doppman JL, Chen CC, Stewart CA, Sutliff VE, Jensen RT (1997) Value of somatostatin receptor scintigraphy: a prospective study in gastrinoma of its effect on clinical management. Gastroenterology 112:335–347
Krenning EP, Kwekkeboom DJ, Oei HY, de Jong RJ, Dop FJ, Reubi JC, Lamberts SW (1994) Somatostatin-receptor scintigraphy in gastroenteropancreatic tumors. An overview of European results. Ann N Y Acad Sci 733:416–424
O’Grady HL, Conlon KC (2008) Pancreatic neuroendocrine tumours. Eur J Surg Oncol 34:424–432
McClean AM, Fairclough PD (2005) Endoscopic ultrasound in the localisation of pancreatic islet cell tumours. Best Pract Res Clin Endocrinol Metab 19:177–193
O’Brien TD, Chejfec G, Prinz RA (1993) Clinical features of duodenal somatostatinomas. Surgery 114:1144–1147
Saif MW (2011) Pancreatic neoplasm in 2011: an update. JOP 12:316–321
Kwekkeboom DJ, de Herder WW, Kam BL et al (2008) Treatment with the radiolabelled somatostatin analog [177Lu-DOTA0, Tyr3]octreotate: toxicity, efficacy and survival. J Clin Oncol 26:2124–2130
Chamberlain RS, Canes D, Brown KT, Saltz L, Jarnagin W, Fong Y, Blumgart LH (2000) Hepatic neuroendocrine metastases: does intervention alter outcome? J Am Coll Surg 4:432–445
Norton JA (2005) Endocrine tumours of the gastrointestinal tract. Surgical treatment of neuroendocrine metastases. Best Pract Clin Res Gastroenterol 19:577–583
Que FG, Sarmiento JM, Nogorney DM (2006) Hepatic surgery for metastatic gastrointestinal tumours. Adv Exp Med Biol 574:43–56
Chamberlain RS, Canes D, Brown KT, Saltz L, Jarnagin W, Fong Y, Blumgart LH (2000) Hepatic neuroendocrine metastases: does intervention alter outcomes? J Am Coll Surg 190:432–445
Moretel CG, Lefkopoulo M, Lipsitz S, Hagn RG, Klaassen D (1992) Streptozocin-doxorubicin, streptozocin-fluorouracil or chlorozotocin in the treatment of advanced islet-cell carcinoma. N Engl J Med 326:519–523
Chen H, Hardacre JM, Uzar A, Cameron JL, Choti MA (1998) Isolated liver metastases from neuroendocrine tumors: does resection prolong survival? J Am Coll Surg 187:88–92; discussion 92–93
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Williamson, J.M.L. (2015). Somatostatinoma. In: Yalcin, S., Öberg, K. (eds) Neuroendocrine Tumours. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45215-8_16
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